NPI 1053260208

Daresa Gordon

Practitioner Lactation Consultant (Non-RN) Manchester, CT

Practice location

Address: 38 Cone St, Manchester, CT 06040-4450
Phone: (860) 478-5343

Registered specialties (2)

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X

Other Lactation Consultant, Non-RN providers in Connecticut →

Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence 028566 (CT)

Other Licensed Practical Nurse providers in Connecticut →

Registry record

NPI: 1053260208
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2026
Record last updated: 22 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.